Department of Radiology, Hospital Universitario, Universidade de Brasilia, Brasilia, Brazil.
Spine (Phila Pa 1976). 2010 Mar 1;35(5):E159-62. doi: 10.1097/BRS.0b013e3181c89f2c.
Case report.
Discuss an isolated intramedullary neurocysticercosis (NCC) case in an adult patient with chronic progressive onset myelopathic symptomatology with clinical, radiologic, and pathologic correlation.
NCC is the most common parasitic infection in the central nervous system. Spinal NCC belongs to the group of extraparenchymal forms of NCC and it is considered an extremely rare form characterized by a distinct clinical entity due to mass effect on the spinal cord.
Description of a 62-year-old male patient case who presented with chronic but progressive low cord myelopathy who underwent radiologic investigation through magnetic resonance imaging depicting a thoracic intramedullary cystic lesion at level T11.
Surgical excision of the intramedullary lesion was preformed and pathologic study confirmed a cysticercus. There was complete resolution of the neurologic symptoms and follow-up monitoring was unremarkable.
Although intramedullary is a rare NCC location, it should be considered in the differential diagnosis in high-risk populations especially when cord compression and myelopathy symptoms are present. Magnetic resonance imaging remains the investigative and follow-up modality of choice, and promptly lesion recognition is fundamental for surgical planning and to improve the patient outcome.
病例报告。
讨论一例成人孤立性脊髓囊虫病（NCC）病例，该患者表现为慢性进行性脊髓病症状，具有临床、影像学和病理学相关性。
NCC 是中枢神经系统最常见的寄生虫感染。脊髓囊虫病属于囊虫病的实质外形式组，被认为是一种非常罕见的形式，其特征是由于脊髓受压而导致明显的临床实体。
描述一名 62 岁男性患者的病例，该患者表现为慢性但进行性的低脊髓髓病，并通过磁共振成像进行放射学检查，显示 T11 水平的胸髓内囊性病变。
对脊髓内病变进行了手术切除，病理研究证实为囊尾蚴。神经症状完全缓解，随访监测无异常。
尽管脊髓内是 NCC 的罕见部位，但在高危人群中，尤其是存在脊髓压迫和脊髓病症状时，应考虑将其纳入鉴别诊断。磁共振成像仍然是首选的检查和随访方式，及时识别病变对于手术计划和改善患者预后至关重要。
